Revealing the Hidden Crisis Maternal Near Miss Cases Surge in Alobied Maternity Hospital

Introduction

Maternal near-miss (MNM) events when women narrowly survive life-threatening complications during pregnancy or childbirthoffer critical insight into gaps in obstetric care. A recent study conducted at Alobied Maternity Hospital in Sudan highlights alarming rates of MNM, prompting a deeper evaluation of healthcare access and emergency obstetric interventions.
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What is a Maternal Near Miss

Defined by the WHO as a condition in which a woman nearly dies but survives a complication during pregnancy, childbirth, or within six weeks postpartum, MNM serves as a vital quality-of-care indicator.

Key Findings from the Study

• Sample Size: 15,202 women admitted in 2018
• MNM Cases Identified: 339
• MNM Rate (MNMR): 22.3 per 1,000 live births
• Primary Causes:
  • Infections (59%)
  • Hemorrhage (23.6%)
  • Severe pre-eclampsia (5.9%)
  • Anemia (5.9%)
  • Eclampsia (3.5%)
• Organ Dysfunction:
  • Liver (2.7%)
  • Coagulation (2.7%)
  • Renal (2.4%)
  • Cerebral (1.5%)
  • Cardiac (1.2%)
  • Respiratory (0.6%)

Read the full study at: https://doi.org/10.29328/journal.cjog.1001149

Systemic Challenges Identified

• Delayed Access to Care: Most women (90%) arrived from home without proper referral.
• Poor Antenatal Coverage: 36% had no antenatal care (ANC); only 30.6% were seen by consultants.
• Education and Geography: 28.3% of affected women were illiterate, and 45.7% lived in rural areas.
• Delivery Risks: Emergency cesareans and home deliveries contributed to increased maternal stress and complications.

International Perspective

The World Health Organization (WHO) emphasizes that maternal near-miss events, if studied systematically, can inform improvements in maternal health services globally. Comparisons with MNM rates in Ethiopia, Kenya, and Uganda suggest that access to timely intervention and skilled birth attendance remain critical across low-resource settings.

Further Reading and Resources

This study is part of a broader initiative to audit maternal health quality.
Explore similar research and resources in the Clinical Journal of Obstetrics and Gynecology.
A detailed analysis can also be found in our main journal article.
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